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      • KCI등재

        Analysis of rectangular hybrid steel-GFRP reinforced concrete beam columns

        Rafic G. El-Helou,Riyad S. Aboutaha 사단법인 한국계산역학회 2015 Computers and Concrete, An International Journal Vol.16 No.2

        In this study, nominal moment-axial load interaction diagrams, moment-curvature relationships, and ductility of rectangular hybrid beam-column concrete sections are analyzed using the modified Hognestad concrete model. The hybrid columns are primarily reinforced with steel bars with additional Glass Fiber Reinforced Polymer (GFRP) control bars. Parameters investigated include amount, pattern, location, and material properties of concrete, steel, and GFRP. The study was implemented using a user defined comprehensive MATLAB® simulation model to find an efficient hybrid section design maximizing strength and ductility. Generating lower bond stresses than steel bars at the concrete interface, auxiliary GFRP bars minimize damage in the concrete core of beam-column sections. Their usage prevents excessive yielding of the core longitudinal bars during frequent moderate cyclic deformations, which leads to significant damage in the foundations of bridges or beam-column spliced sections where repair is difficult and expensive. Analytical results from this study shows that hybrid steel-GFRP composite concrete sections where GFRP is used as auxiliary bars show adequate ductility with a significant increase in strength. Results also compare different design parameters reaching a number of design recommendations for the proposed hybrid section.

      • SCIESCOPUSKCI등재

        Comparison of five international indices of adherence to the Mediterranean diet among healthy adults: similarities and differences

        Aoun, Carla,Papazian, Tatiana,Helou, Khalil,El Osta, Nada,Khabbaz, Lydia Rabbaa The Korean Nutrition Society 2019 Nutrition Research and Practice Vol.13 No.4

        BACKGROUND/OBJECTIVES: To compare five indices of adherence to the Mediterranean Diet (MD) among adults living in the Mediterranean region. SUBJECTS/METHODS: A total of 100 healthy Lebanese adults aged between 18 and 65 years. Face-to-face interviews to collect sociodemographic and medical information, to take anthropometric measurements, and to fill a validated, culturally adapted, food frequency questionnaire (FFQ). The score for each item was calculated following the recommendations for each corresponding index. The five MD indices were Mediterranean Diet Scale (MDScale), Mediterranean Food Pattern (MFP), MD Score (MDS), Short Mediterranean Diet Questionnaire (SMDQ), and the MedDiet score. RESULTS: Significant correlations were detected between items with P-values < 0.001. Minimal agreement was seen between MDScale and MedDiet score and maximal agreement between MDS and MedDiet score. Univariate and multivariate analyses showed that MDS and MedDiet scores had significant correlations with fiber and olive oil intake, main components of the MD. MDScale showed a significant correlation with waist-to-hip ratio and with total energy intake but none of the five indices was correlated to body mass index (BMI). CONCLUSIONS: The indices that showed the highest correlation with variables related to the MD are the MDScale and the MedDiet score; therefore, they can be used to assess our future study populations. Based on the current results, more than half of the study population was non-adherent to the MD and adherence to this diet did not appear to protect against being overweight ($BMI{\geq}30$).

      • KCI등재

        Comparison of five international indices of adherence to the Mediterranean diet among healthy adults: similarities and differences

        Carla Aoun,Tatiana Papazian,Khalil Helou,Nada El Osta,Lydia Rabbaa Khabbaz 한국영양학회 2019 Nutrition Research and Practice Vol.13 No.4

        BACKGROUND/OBJECTIVES: To compare five indices of adherence to the Mediterranean Diet (MD) among adults living in the Mediterranean region. SUBJECTS/METHODS: A total of 100 healthy Lebanese adults aged between 18 and 65 years. Face-to-face interviews to collect sociodemographic and medical information, to take anthropometric measurements, and to fill a validated, culturally adapted, food frequency questionnaire (FFQ). The score for each item was calculated following the recommendations for each corresponding index. The five MD indices were Mediterranean Diet Scale (MDScale), Mediterranean Food Pattern (MFP), MD Score (MDS), Short Mediterranean Diet Questionnaire (SMDQ), and the MedDiet score. RESULTS: Significant correlations were detected between items with P-values < 0.001. Minimal agreement was seen between MDScale and MedDiet score and maximal agreement between MDS and MedDiet score. Univariate and multivariate analyses showed that MDS and MedDiet scores had significant correlations with fiber and olive oil intake, main components of the MD. MDScale showed a significant correlation with waist-to-hip ratio and with total energy intake but none of the five indices was correlated to body mass index (BMI). CONCLUSIONS: The indices that showed the highest correlation with variables related to the MD are the MDScale and the MedDiet score; therefore, they can be used to assess our future study populations. Based on the current results, more than half of the study population was non-adherent to the MD and adherence to this diet did not appear to protect against being overweight (BMI ≥ 30).

      • SPECTROSCOPICALLY SELECTED<i>SPITZER</i>24<i>μm</i>ACTIVE GALACTIC NUCLEI

        Choi, P. I.,Yan, Lin,Helou, G.,Storrie-Lombardi, L. J.,Fadda, D.,Im, M.,Shim, H. IOP Publishing 2011 The Astrophysical journal Vol.732 No.1

        <P>We investigate the active galactic nucleus (AGN) sub-population of a 24 mu m flux-limited galaxy sample in the Spitzer Extragalactic First Look Survey. Using deep Keck optical spectroscopy and a series of emission-line diagnostics, we identify AGN-dominated systems over broad redshift 0 < z < 3.5 and luminosity 9 < log(L-TIR) < 14 ranges, with sample means of < z > = 0.85 and < log(LTIR)> = 11.5. We find that down to the flux limits of our Spitzer MIPS sample (f(24) > 200 mu Jy), 15%-20% of sources exhibit strong AGN signatures in their optical spectra. At this flux limit, the AGN population accounts for as much as 25%-30% of the integrated 24 mu m flux. This corresponds to an MIR AGN contribution approximate to 2-3x greater than that found in ISOCAM 15 mu m studies that used X-ray AGN identifications. Based on our spectroscopically selected AGN sample, we also investigate the merits of Infrared Array Camera (IRAC) color selection for AGN identification. Our comparison reveals that although there is considerable overlap, a significant fraction of spectroscopic AGNs are not identifiable based on their MIR colors alone. Both the measured completeness and reliability of the IRAC color selections are found to be strongly dependent on the MIR flux limit. Finally, our spectroscopic AGN sample implies as much as a 3x higher AGN surface density at high redshift (z > 1.2) than that of recent optical surveys at comparable optical flux limits, suggestive of a population of heavily obscured, optical/UV reddened AGNs.</P>

      • KCI등재후보

        An analysis of 77 cases of pancreatic injuries at a level one trauma center: Outcomes of conservative and surgical treatments

        Harbi Khalayleh,Ashraf Imam,Oded Cohen-Arazi,Pikkel Yoav,Brigitte Helou,Bala Miklosh,Alon J. Pikarsky,Abed Khalaileh 한국간담췌외과학회 2022 Annals of hepato-biliary-pancreatic surgery Vol.26 No.2

        Backgrounds/Aims: Traumatic pancreatic injury (TPI) is rare as an isolated injury. There is a trend to perform conservative treatment even in patients with complete duct dissection and successful treatment. This study reviewed our 20 years of experience in the management of TPI and assessed patient outcomes according to age group and treatment strategy. Methods: A retrospective analysis of patients diagnosed and treated with TPI at a level-I trauma center from 2000–2019. Patients were divided into two groups: adults and pediatrics. Conservative treatment cases were subjected to subgroup analysis. Level of evidence: IV. Results: Of a total of 77 patients, the mean age was 24.89 ± 15.88 years. Fifty-six (72.7%) patients had blunt trauma with motor vehicle accident. Blunt trauma was the predominant mechanism in 42 (54.5%) patients. Overall, 38 (49.4%) cases had grade I or II injury, 24 (31.2%) had grade III injury, and 15 (19.5%) had grade IV injury. A total of 30 cases had non-operative management (NOM). Successful NOM was observed in 16 (20.8%) cases, including eight (32.0%) pediatric cases and eight (15.4%) adult cases. Higher American association for the surgery of trauma (AAST) grade of injury was associated with NOM failure (16.7% for grade I/II, 100% for grade III, and 66.7% for grade IV injury; p = 0.001). An independent factor for NOM failure was female sex (69.2% in females vs. 29.4% in males; p = 0.03). Conclusions: High AAST grade TPI is associated with a high rate of NOM failure in both pediatric and adults.

      • KCI등재

        Early predictors of acute kidney injury in patients with cirrhosis and bacterial infection: urinary neutrophil gelatinase-associated lipocalin and cardiac output as reliable tools

        ( Rafael O. Ximenes ),( Alberto Q. Farias ),( Claudia M. B. Helou ) 대한신장학회 2015 Kidney Research and Clinical Practice Vol.34 No.3

        Background: Hemodynamic abnormalities and acute kidney injury (AKI) are often present in infected cirrhotic patients. Hence, an early diagnosis of AKI is necessary, which might require the validation of new predictors as the determinations of urinary neutrophil gelatinase-associated lipocalin (uNGAL) and cardiac output. Methods: We evaluated 18 infected cirrhotic patients subdivided into two groups at admission (0 hours). In Group I, we collected urine samples at 0 hours, 6 hours, 24 hours, and 48 hours for uNGAL and fractional excretion of sodium determinations. In Group II, we measured cardiac output using echocardiography. Results: The age of patients was 55.071.9 years, and 11 patients were males. The Model for End-Stage Liver Disease score was 2171, whereas the Child-Pugh score was C in 11 patients and B in 7 patients. Both patients in Group I and Group II showed similar baseline characteristics. In Group I, we diagnosed AKI in 5 of 9 patients, and the mean time to this diagnosis by measuring serum creatinine was 5.4 days. Patients with AKI showed higher uNGAL levels than those without AKI from 6 hours to 48 hours. The best accuracy using the cutoff values of 68 ng uNGAL/mg creatinine was achieved at 48 hours when we distinguished patients with and without AKI in all cases. In Group II, we diagnosed AKI in 4 of 9 patients, and cardiac output was significantly higher in patients who developed AKI at 0 hours. Conclusion: Both uNGAL and cardiac output determinations allow the prediction of AKI in infected cirrhotic patients earlier than increments in serum creatinine.

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